Presented by State of Wisconsin Department of Health and Family Services Division of Public Health Bureau of Local Health Support and EMS

Presented by

State of Wisconsin

Department of Health and Family Services

Division of Public Health

Bureau of

Local Health Support and EMS

Operational Plan Understanding and completing the components Meeting the requirements

Operational Plan

Understanding and completing the components

Meeting the requirements

DNR Communications Trauma Licensing EMSS WARDS Interfacility Transports Provider levels FAP

DNR

Communications

Trauma

Licensing

EMSS

WARDS

Interfacility Transports

Provider levels

FAP

Bureau Director Larry Gilbertson Medical Director Keith Wesley Bureau Office Manager Helen Pullen

Understanding the EMS Provider Application and Operational Plan

Understanding the

EMS Provider Application and Operational Plan

General Information Associate Information Medical Control Hospital Information Operations Information Affiliate Information Transportation Information Components

General Information

Associate Information

Medical Control Hospital Information

Operations Information

Affiliate Information

Transportation Information

Education Infection Control Information QA Program Protocols Signatures Update Requirements Components

Education

Infection Control Information

QA Program

Protocols

Signatures

Update Requirements

Demographics License Level Provider Description Primary Service Area Insurance Information Call Coverage / Scheduling General Information

Demographics

License Level

Provider Description

Primary Service Area

Insurance Information

Call Coverage / Scheduling

General Information EMS PROVIDER APPLICATION AND OPERATIONAL PLAN: “ Completion of this form is mandatory for licensure as an EMS provider. Updating and maintaining a current operational plan with the Wisconsin Department of Health & Family Services is required under Administrative Rule Chapters HFS 110, HFS 111, HFS 112, HFS 113 and s. 146.50 and 146.55 Wis. Stats.”

RETURN COMPLETED PLAN TO THE APPROPRIATE EMS PROGRAM COORDINATOR AT: Division of Public Health Bureau of Local Health Support and Emergency Medical Services 1W. Wilson Room 133 PO Box 2659 Madison, WI 53701-2659 General Information

RETURN COMPLETED PLAN TO THE APPROPRIATE EMS PROGRAM COORDINATOR AT:

Division of Public Health

Bureau of Local Health Support and Emergency Medical Services

1W. Wilson Room 133

PO Box 2659

Madison, WI 53701-2659

This plan is a: New Change of Service License Level Change of Ownership Special Event Plan Seasonal Plan *Revised Plan – Attach a document describing change and complete only those sections applicable to the change. General Information

This plan is a:

New

Change of Service License Level

Change of Ownership

Special Event Plan

Seasonal Plan

*Revised Plan – Attach a document describing change and complete only those sections applicable to the change.

Contact Person (submitting plan) Telephone No. E-mail Address** General Information

Contact Person (submitting plan)

Telephone No.

E-mail Address**

Provider Legal Name Provider Number FEIN Address (where records are kept) General Information

Provider Legal Name

Provider Number

FEIN

Address (where records are kept)

E-mail Address Telephone DEA number (if applicable) CLIA waiver number and expiration General Information

E-mail Address

Telephone

DEA number (if applicable)

CLIA waiver number and expiration

Medical First Responder EMT Basic EMT Intermediate Technician EMT Intermediate EMT Paramedic General Information

Medical First Responder

EMT Basic

EMT Intermediate Technician

EMT Intermediate

EMT Paramedic

Municipality Owned Private Non-Profit * Private For-Profit** Tribal Ownership * Private Non-Profit – submit a copy of certificate of incorporation and a copy of contract for service ** Private for profit – submit a copy of contract for service General Information

Municipality Owned

Private Non-Profit *

Private For-Profit**

Tribal Ownership

* Private Non-Profit – submit a copy of certificate of incorporation and a copy of contract for service

** Private for profit – submit a copy of contract for service

Description of the legal service area for 911 primary response City, townships or villages Responsibilities Map representing PSA General Information

Description of the legal service area for 911 primary response

City, townships or villages

Responsibilities

Map representing PSA

Name of station Identifier Street Address City Zip General Information

Name of station

Identifier

Street Address

City

Zip

Professional and/or Medical Liability Insurance Copy of certificate of insurance Provider Name Policy No. Expiration Date Agent Name Address Telephone General Information

Professional and/or Medical Liability Insurance

Copy of certificate of insurance

Provider Name

Policy No.

Expiration Date

Agent Name

Address

Telephone

Owner Service Director Medical Director Training Officer Infection Control Contact Quality Assurance Officer Associate Information

Owner

Service Director

Medical Director

Training Officer

Infection Control Contact

Quality Assurance Officer

The person or entity legally responsible for providing and overseeing the EMS Service. Assures the service complies with s. 146.50 and s. 146.55 and the Operational Plan Legal Name Address Telephone E-mail address Associate Information

The person or entity legally responsible for providing and overseeing the EMS Service. Assures the service complies with s. 146.50 and s. 146.55 and the Operational Plan

Legal Name

Address

Telephone

E-mail address

R esponsible for daily operation of the service. This individual is the 24/ 7 contact. Assures the service conforms to all rules and the Operational Plan. Name License No. Address Telephone E-mail Address Associate Information

R esponsible for daily operation of the service. This individual is the 24/ 7 contact. Assures the service conforms to all rules and the Operational Plan.

Name

License No.

Address

Telephone

E-mail Address

The WI Licensed physician responsible for: All phases of the services’ program and the personnel performing under the Operational Plan Designating on–line medical control physicians Attach a copy of the medical director’s resume’ or curriculum vitae and Wisconsin license number Associate Information

The WI Licensed physician responsible for:

All phases of the services’ program and the personnel performing under the Operational Plan

Designating on–line medical control physicians

Attach a copy of the medical director’s resume’ or curriculum vitae and Wisconsin license number

The WI Licensed physician responsible for: Establishing standard operating protocols for EMS personnel performing under the Plan Coordinating and supervising evaluation activities carried out under the Plan Associate Information

The WI Licensed physician responsible for:

Establishing standard operating protocols for EMS personnel performing under the Plan

Coordinating and supervising evaluation activities carried out under the Plan

Responsible for establishing and overseeing the services’ training program; Maintains training records; Assures compliance with training requirements. Name Address Telephone E-mail Address Associate Information

Responsible for establishing and overseeing the services’ training program; Maintains training records; Assures compliance with training requirements.

Name

Address

Telephone

E-mail Address

The service member contacted in case of employee exposure to hazardous materials or other potentially infectious substances Name Address Telephone E-mail Address Associate Information

The service member contacted in case of employee exposure to hazardous materials or other potentially infectious substances

Name

Address

Telephone

E-mail Address

Responsible for overseeing the QA program; Assures review of patient care reports and operations. Submits data to the Department as requested. Associate Information Name Address Telephone E-mail Address

Responsible for overseeing the QA program; Assures review of patient care reports and operations. Submits data to the Department as requested.

Name

Address

Telephone

E-mail Address

Hospital Name & Contact Person On-Line Medical Control Off-Line Medical Control Medical Control

Hospital

Name & Contact Person

On-Line Medical Control

Off-Line Medical Control

An acute care hospital which: Agrees to participate in the services program Provides on-line medical direction in accordance with the requirements of Chapters 110-113 Medical Control

An acute care hospital which:

Agrees to participate in the services program

Provides on-line medical direction in accordance with the requirements of Chapters 110-113

On–line medical control means a physician: Designated by the Medical Director Provides voice communicated medical direction Assumes responsibility for the care provided by the EMS personnel in response to that direction Medical Control

On–line medical control means a physician:

Designated by the Medical Director

Provides voice communicated medical direction

Assumes responsibility for the care provided by the EMS personnel in response to that direction

Off-Line Medical Control means medical direction that: Does not involve voice communication provided to EMS providing direct patient care Includes protocols and standing orders Medical Control

Off-Line Medical Control means medical direction that:

Does not involve voice communication provided to EMS providing direct patient care

Includes protocols and standing orders

Roster Personnel Response Information Response to the scene Staffing and crew configuration Operations

Roster

Personnel

Response Information

Response to the scene

Staffing and crew configuration

Information entered into EMSS for all licensed personnel Paperwork Electronic addition Expiration of CPR/ACLS Training status Medical Director approval Operations

Information entered into EMSS for all licensed personnel

Paperwork

Electronic addition

Expiration of CPR/ACLS

Training status

Medical Director approval

Provides information regarding individuals who replace licensed EMS personnel MD, RN, PA Requirements Non-EMS licensed drivers Operations

Provides information regarding individuals who replace licensed EMS personnel

MD, RN, PA

Requirements

Non-EMS licensed drivers

Response to the scene Staffing Crew configuration Operations

Response to the scene

Staffing

Crew configuration

Medical First Responder Services Mutual Aid Agreements Back-up Agreements Intercept Services Disaster Plan Affilitate Information

Medical First Responder Services

Mutual Aid Agreements

Back-up Agreements

Intercept Services

Disaster Plan

Services meeting the requirements in HFS 113 Affiliated with Ambulance Service Provider Identified on roster Affiliate Information

Services meeting the requirements in HFS 113

Affiliated with Ambulance Service Provider

Identified on roster

Mutual aid means: Assistance from nearby ambulance providers for care when the primary ambulance service requires additional ambulances; is already committed to a 911 response; is unable to respond because the primary ambulance service resources have been exhausted . Afilliate Information

Mutual aid means:

Assistance from nearby ambulance providers for care when the primary ambulance service requires additional ambulances; is already committed to a 911 response; is unable to respond because the primary ambulance service resources have been exhausted .

Back up agreement means: Assistance from nearby ambulance providers for care when the primary ambulance service is unable to respond for reasons other than under the Mutual Aid agreements Affilitate Information

Back up agreement means:

Assistance from nearby ambulance providers for care when the primary ambulance service is unable to respond for reasons other than under the Mutual Aid agreements

Vehicle Information Inspector Information Transportation

Vehicle Information

Inspector Information

Vehicle Information Vehicle Identification Number Unit number License Plate number Transportation Model Year/Make Conversion Manufacturer Vehicle type

Vehicle Information

Vehicle Identification Number

Unit number

License Plate number

Model

Year/Make

Conversion Manufacturer

Vehicle type

Contact Information Division of State Patrol Office of Ambulance Inspections Paul Schilling PO Box 7912 Room 551 4802 Sheboygan Avenue Madison, WI 53707 608-220-3246 Transportation

Contact Information

Division of State Patrol

Office of Ambulance Inspections

Paul Schilling

PO Box 7912 Room 551

4802 Sheboygan Avenue

Madison, WI 53707

608-220-3246

Who Can Sign the Plan? Why Sign the Plan? What are You Signing? Signatures

Who Can Sign the Plan?

Why Sign the Plan?

What are You Signing?

What are You Signing? Indicates acceptance and understanding of the plan requirements Agreement to conform to the Operational Plan requirements Signatures

What are You Signing?

Indicates acceptance and understanding of the plan requirements

Agreement to conform to the Operational Plan requirements

Owner Person legally responsible for the service Service Director Medical Director Quality Assurance Representative May be the Service Director Signatures

Owner

Person legally responsible for the service

Service Director

Medical Director

Quality Assurance Representative

May be the Service Director

Training Center Medical Control Hospital On line medical control May be multiple hospitals Receiving Hospital (local) Ambulance Service Director Affiliated with Medical First Responder Service Signatures

Training Center

Medical Control Hospital

On line medical control

May be multiple hospitals

Receiving Hospital (local)

Ambulance Service Director

Affiliated with Medical First Responder Service

Why Sign the Plan? Required under Administrative rules 110, 111, 112, and/or 113 Indicates all parties involved have read and are aware of the content of the Operational Plan Signatures

Why Sign the Plan?

Required under Administrative rules 110, 111, 112, and/or 113

Indicates all parties involved have read and are aware of the content of the Operational Plan

Addendums to Plan Part A – E Required Provides Operational Overview

Addendums to Plan

Part A – E

Required

Provides Operational Overview

Emergent Transport Cancel by 1 st Responders Response Dispatch

Emergent Transport

Cancel by 1 st Responders

Response

Dispatch

Intercept Service Provides additional resources, usually of a higher licensed provider, based upon the patients condition Provides additional personnel, based upon the patients condition Should not be used for reasons other than patient need Affiliate Information

Intercept Service

Provides additional resources, usually of a higher licensed provider, based upon the patients condition

Provides additional personnel, based upon the patients condition

Should not be used for reasons other than patient need

Disaster Plan Description of the integration of the EMS service with the local, county or regional disaster preparedness plan Triage/Transport guidelines Required to adopt the regional or state guidelines in the services’ Operational Plan Designate RTAC Affiliation Affiliate Information

Disaster Plan

Description of the integration of the EMS service with the local, county or regional disaster preparedness plan

Triage/Transport guidelines

Required to adopt the regional or state guidelines in the services’ Operational Plan

Designate RTAC Affiliation

Training Center Refresher changes Requirements for Continuing Education Methods for Continuing Education Education

Training Center

Refresher changes

Requirements for Continuing Education

Methods for Continuing Education

Certified Training Center means: Any organization, including a medical or educational institution, approved by the Department under administrative rule to conduct EMT or First Responder training Education

Certified Training Center means:

Any organization, including a medical or educational institution, approved by the Department under administrative rule to conduct EMT or First Responder training

Minimum requirements for each level Medical First Responder: 18 hours Basic: 30 hours Intermediate Tech: 12 hours (in addition to Basic refresher) Intermediate: 48 hours Paramedic: 48 hours Education

Minimum requirements for each level

Medical First Responder: 18 hours

Basic: 30 hours

Intermediate Tech: 12 hours

(in addition to Basic refresher)

Intermediate: 48 hours

Paramedic: 48 hours

Watch for changes! Education

Watch for changes!

Infection Control Person Exposure Control Plan Employee Availability Infection Control

Infection Control Person

Exposure Control Plan

Employee Availability

Infection Control Person The service member contacted in case of exposure to hazardous materials or other potentially infectious substances The medical facility contact person utilized in case of EMS member exposure Infection Control

Infection Control Person

The service member contacted in case of exposure to hazardous materials or other potentially infectious substances

The medical facility contact person utilized in case of EMS member exposure

Exposure Control Plan Elements Healthcare Facility OSHA Requirements 29 CFR 1910.1030 Bloodborne 29 CFR 1910.134 Airborne Annual OSHA Training Infection Control

Exposure Control Plan

Elements

Healthcare Facility

OSHA Requirements

29 CFR 1910.1030 Bloodborne

29 CFR 1910.134 Airborne

Annual OSHA Training

Employee Availability Available hospital or medical facility contact information Forms Requirements Infection Control

Employee Availability

Available hospital or medical facility contact information

Forms

Requirements

Elements of the program Importance of the QA Program Quality Assurance

Elements of the program

Importance of the QA Program

Elements of the program including Name of the quality assurance director Copies of policies and procedures to be used in medical control, implementation and evaluation of the program A description of the method of data collection and a written agreement to submit data to the department when requested Quality Assurance

Elements of the program including

Name of the quality assurance director

Copies of policies and procedures to be used in medical control, implementation and evaluation of the program

A description of the method of data collection and a written agreement to submit data to the department when requested

Importance of the QA Program Must have written plan/procedure Assure compliance with protocol and practice standards Identify areas of concern Provide topics for training Provide feedback to employees on patient care and performance Quality Assurance

Importance of the QA Program

Must have written plan/procedure

Assure compliance with protocol and practice standards

Identify areas of concern

Provide topics for training

Provide feedback to employees on patient care and performance

Protocol Template Scope of Practice Protocols

Protocol Template

Scope of Practice

Require Medical Director approval and signature Cover letter from Medical Director indicating approval Changes to protocols require Department approval prior to implementation Protocols

Require Medical Director approval and signature

Cover letter from Medical Director indicating approval

Changes to protocols require Department approval prior to implementation

Protocols

Scope of Practice Medical First Responder Basic Intermediate Technician Intermediate Paramedic www.dhfs.wisconsin.gov/ems Protocols

Scope of Practice

Medical First Responder

Basic

Intermediate Technician

Intermediate

Paramedic

www.dhfs.wisconsin.gov/ems

Scope of Practice for EMT-Paramedic Licensed Providers Shaded areas denote change from previous license level Wisconsin EMS Scope of Practice EMT-Paramedic AIRWAY / VENTILATION / OXYGENATION Airway – Lumen (Non-Visualized) Airway – Nasal (Nasopharyngeal) Airway – Oral (Oropharyngeal) Bag-Valve-Mask (BVM) Chest Decompression – Needle CPAP *** Cricoid Pressure (Sellick) Cricothyroidotomy – Surgical/Needle End Tidal CO2 Monitoring/Capnometry Gastric Decompression – NG Tube CARDIOVASCULAR / CIRCULATION ECG Monitor 12 Lead ECG Cardiopulmonary Resuscitation (CPR) CPR Mechanical Device** Cardioversion – Electrical Valsalva Defibrillation – Automated / Semi-Automated (AED) Defibrillation – Manual Hemorrhage Control – Direct Pressure Hemorrhage Control – Pressure Point Hemorrhage Control – Tourniquet

Cover letter on letterhead Renewal Time Once every two years to comply with Administrative Rule Plan Update Anytime/every time there is a change

Cover letter on letterhead

Renewal Time

Once every two years to comply with Administrative Rule

Anytime/every time there is a change

Printed Copy Submit cover letter on letterhead with appropriate signatures Include a letter outlining the changes Plan Update

Printed Copy

Submit cover letter on letterhead with appropriate signatures

Include a letter outlining the changes

Renewal Once every two years Changes Anytime there is a change in the services’ operation Must be approved by the Department prior to implementation Plan Update

Renewal

Once every two years

Changes

Anytime there is a change in the services’ operation

Must be approved by the Department prior to implementation

Clarification of issues Liability and Chapters 125 & 154 Samples of bracelets DNR

Clarification of issues

Liability and Chapters 125 & 154

Samples of bracelets

Clarification of issues Must contain “Wisconsin-Do Not Resuscitate” Liability protection Chapters 125 & 154 DNR

Clarification of issues

Must contain “Wisconsin-Do Not Resuscitate”

Liability protection

Chapters 125 & 154

Acceptable Bracelets Hospital type band Royal Blue Imprint Metal “Medic-Alert” Bracelet DNR

Acceptable Bracelets

Hospital type band

Royal Blue Imprint

Metal “Medic-Alert” Bracelet

DNR Must contain “Wisconsin-Do Not Resuscitate”

DNR Program Information DNR

Equipment Response Issues State Communications Plan Radio Frequencies EMD Communications

Equipment

Response Issues

State Communications Plan

Radio Frequencies

EMD

Radio Equipment TRANS 309 Requirements Wireless Communications State EMS Communications Plan Dispatch Information Who, How and When Communications

Radio Equipment

TRANS 309 Requirements

Wireless Communications

State EMS Communications Plan

Dispatch Information

Who, How and When

Communications “ . . .When installing communications equipment in ambulances, the ambulance service provider shall comply with the specifications and standards of the Wisconsin Statewide Emergency Medical Services Communications Plan. All ambulances shall have direct radio contact with a hospital emergency department on the designated ambulance-to-hospital frequency.” Quote from HFS110.08(2)(f)

Wireless Communication State Communication Plan www.dhfs.wisconsin.gov/ems Communications

Wireless Communication

State Communication Plan

www.dhfs.wisconsin.gov/ems

Dispatch Information Who, How and When EMD/Priority Dispatch Communications

Dispatch Information

Who, How and When

EMD/Priority Dispatch

Communications Program Coordinator Communications

Regional Trauma Advisory Committee (RTAC) State Trauma Advisory Council (STAC) Trauma Registry Trauma

Regional Trauma Advisory Committee (RTAC)

State Trauma Advisory Council (STAC)

Trauma Registry

Triage/Transport Guidelines HRSA Drills Performance Improvement WEEPP Trauma

Triage/Transport Guidelines

HRSA Drills

Performance Improvement

WEEPP

Legislative requirement for every EMS service to declare their primary RTAC Excellent source of information Forum for discussions on trauma care and trauma issues Trauma

Legislative requirement for every EMS service to declare their primary RTAC

Excellent source of information

Forum for discussions on trauma care and trauma issues

Advisory council to DHFS Meetings are open to the public EMS is represented at STAC Trauma

Advisory council to DHFS

Meetings are open to the public

EMS is represented at STAC

Trauma data from designated hospitals across the state Link with EMS WARDS data system in the works RTAC’s will use registry to assess aggregate data and injury statistics to develop prevention programs Trauma

Trauma data from designated hospitals across the state

Link with EMS WARDS data system in the works

RTAC’s will use registry to assess aggregate data and injury statistics to develop prevention programs

Minimal statewide guidelines RTAC revised guideline to be region specific EMS services are required to adopt regional or statewide guidelines Trauma

Minimal statewide guidelines

RTAC revised guideline to be region specific

EMS services are required to adopt regional or statewide guidelines

Required as part of HRSA and Preparedness funding RTAC Coordinator’s are developing exercises Trauma

Required as part of HRSA and Preparedness funding

RTAC Coordinator’s are developing exercises

EMS Program Consultant Trauma

Requirements Initial Renewal Licensing

Requirements

Initial

Renewal

Licensing Responsibility Individual and Service Name and Address changes Common Mistakes Common Misconceptions Information available on the website www.dhfs.wisconsin.gov/ems Licensing

Licensing Responsibility

Individual and Service

Name and Address changes

Common Mistakes

Common Misconceptions

Information available on the website

www.dhfs.wisconsin.gov/ems

Initial License Application Reciprocity Electronic Addition to Roster Requirements Paperwork Licensing

Initial License Application

Reciprocity

Electronic Addition to Roster

Requirements

Paperwork

Failure to renew on time Failure to obtain refresher requirements Completion does not automatically renew your license Licensing

Failure to renew on time

Failure to obtain refresher requirements

Completion does not automatically renew your license

National Registry is NOT your WI license! Medical direction required to perform advanced skills License must be issued prior to practicing Paper copy in hand Active in EMSS Licensing

National Registry is NOT your WI license!

Medical direction required to perform advanced skills

License must be issued prior to practicing

Paper copy in hand

Active in EMSS

Licensing Program Coordinator Licensing

Up-to-date information Roster Addresses E-mail information WAMS How to get access Who to contact EMSS

Up-to-date information

Roster

Addresses

E-mail information

WAMS

How to get access

Who to contact

Changes in Address Personnel responsibilities Electronic addition to roster Adding personnel Paperwork required E-mail address information EMSS

Changes in

Address

Personnel responsibilities

Electronic addition to roster

Adding personnel

Paperwork required

E-mail address information

Access Who is authorized Changes to authorization Renewal Update information including: CPR ACLS Insurance EMSS

Access

Who is authorized

Changes to authorization

Renewal

Update information including:

CPR

ACLS

Insurance

WAMS Self registration Profile management Account recovery Update information under “ my account login” https://on.wisconsin.gov https://emss.wisconsin.gov EMSS

WAMS

Self registration

Profile management

Account recovery

Update information under

“ my account login”

https://on.wisconsin.gov

https://emss.wisconsin.gov

EMSS EMSS

Approved by Department Local 911 service Interfacility Transfer service Physician Responsibility Scope of Practice Crew Configuration Interfacility

Approved by Department

Local 911 service

Interfacility Transfer service

Physician Responsibility

Scope of Practice

Crew Configuration

Written approval from the Department Includes discharges, hospital to hospital, etc Interfacility

Written approval from the Department

Includes discharges, hospital to hospital, etc

Must assure the 911 service will not be interrupted while on interfacility transfer Should not use mutual aid agreements to cover primary 911 service area while on interfacility transfers Interfacility

Must assure the 911 service will not be interrupted while on interfacility transfer

Should not use mutual aid agreements to cover primary 911 service area while on interfacility transfers

Services approved for Interfacility Transfers only With approval, may provide mutual aid, intercepts, back up Interfacility

Services approved for Interfacility Transfers only

With approval, may provide mutual aid, intercepts, back up

Transfer agreement Physician responsible Interfacility

Transfer agreement

Physician responsible

Not your routine 911 call! Requires protocols for Interfacility Transfers Requires additional training competencies Scope of Practice defined in Operational Plan Crew configuration based on patient condition Interfacility

Not your routine 911 call!

Requires protocols for Interfacility Transfers

Requires additional training competencies

Scope of Practice defined in Operational Plan

Crew configuration based on patient condition

Interfacility Transfer Guidelines Document Available on our website www.dhfs.wisconsin.gov/ems Interfacility

Interfacility Transfer Guidelines

Document

Available on our website

www.dhfs.wisconsin.gov/ems

Identification of new groups New Rule New skills Curricula First Responder

Identification of new groups

New Rule

New skills

Curricula

Identification of FR Groups Approved Operational Plan Registered on EMSS First Responder

Identification of FR Groups

Approved Operational Plan

Registered on EMSS

HFS 113 Future Revisions New Skills AED (All FR groups) Non-visualized Airway EpiPen Administration Long Board Application First Responder

HFS 113

Future Revisions

New Skills

AED (All FR groups)

Non-visualized Airway

EpiPen Administration

Long Board Application

Curriculum Optional training modules Refresher First Responder

Curriculum

Optional training modules

Refresher

Medical First Responder Program Coordinator Basic

Maintaining a working roster and schedule 24/7 assurance QA Obligations to respond Basic

Maintaining a working roster and schedule

24/7 assurance

QA

Obligations to respond

Scheduling 24/7 coverage Crew Configuration HFS 110 requirements Basic

Scheduling

24/7 coverage

Crew Configuration

HFS 110 requirements

Quality Assurance Why How Who Basic

Quality Assurance

Why

How

Who

Obligations Responding to calls HFS 110 requirements Basic

Obligations

Responding to calls

HFS 110 requirements

Basic Program Coordinator Basic

QA Operational plans Testing Scope of Practice Intermediate Technician

QA

Operational plans

Testing

Scope of Practice

Intermediate Technician Testing changes Scope of Practice issues Intermediate Technician

Intermediate Technician

Testing changes

Scope of Practice issues

Proposed changes Reimbursement issues Intermediate Technician

Proposed changes

Reimbursement issues

Testing Changes Written exam Practical Exam Exam results letter Intermediate Technician

Testing Changes

Written exam

Practical Exam

Exam results letter

Narcotics accounting Sedation Scope of Practice issues Pacing Cardioversion QA Intermediate

Narcotics accounting

Sedation

Scope of Practice issues

Pacing

Cardioversion

QA

Narcotic Accounting What is your procedure? Has it been tested? Intermediate

Narcotic Accounting

What is your procedure?

Has it been tested?

Sedation Why not? Valium? Intermediate

Sedation

Why not?

Valium?

Scope of Practice issues Pacing Cardioversion Intermediate

Scope of Practice issues

Pacing

Cardioversion

Quality Assurance Why? What is your plan? Intermediate

Quality Assurance

Why?

What is your plan?

Paramedic Program Coordinator Intermediate

RSI Scope of Practice Medications Transition course Intermediate to Paramedic Single Paramedic and Two Paramedic Services QA Paramedic

RSI

Scope of Practice

Medications

Transition course

Intermediate to Paramedic

Single Paramedic and Two Paramedic Services

QA

RSI Requires approval Requires 2 paramedics at the bedside Requires training and competency plan Paramedic

RSI

Requires approval

Requires 2 paramedics at the bedside

Requires training and competency plan

Scope of Practice WI Scope of Practice document www.dhfs.wisconsin.gov/ems Approved Medications Paramedic

Scope of Practice

WI Scope of Practice document

www.dhfs.wisconsin.gov/ems

Approved Medications

Transition Course Intermediate to Paramedic Paramedic

Transition Course

Intermediate to Paramedic

Two-Paramedic Services Single Paramedic at the Intermediate level Single-Paramedic Services January 1, 2000 Paramedic

Two-Paramedic Services

Single Paramedic at the Intermediate level

Single-Paramedic Services

January 1, 2000

QA Why? What is your plan? Paramedic

QA

Why?

What is your plan?

Paramedic Program Coordinator Paramedic

Clarification of the program Current years budget $3588.00 plus per capita 1/3 distribution FAP

Clarification of the program

Current years budget

$3588.00 plus per capita

1/3 distribution

Timeline Normal February March 15 April 15 August Current FAP

Timeline

Normal

February

March 15

April 15

August

Current

FAP Program Coordinator FAP

Closing Remarks